Individual
MELANIE C RAFFOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1911 OLD FAIRFIELD RD STE 110A, BEAVERCREEK, OH 45432-2754
(937) 429-4826
(937) 429-4575
Mailing address
5800 E LOVERS LN, DALLAS, TX 75206-2901
(972) 817-6260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.121937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100387
—
OH
Enumeration date
06/20/2011
Last updated
06/17/2022
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